1.

Which of the following statements is CORRECT about presumptive sign of

pregnancy? *
0/1
a. It is felt by the woman but cannot be documented by the examiner.
b. It is felt by the examiner but cannot be documented by the woman.
c. It is experienced by the examiner and more reliable than probable sign.
d. It is experienced by the woman and can be documented by the examiner.
Incorrect
 
 
 
Correct answer
a. It is felt by the woman but cannot be documented by the examiner.
 
 
 
2. All of these are presumptive signs of pregnancy: *
1/1
a. soft cervix, linea nigra, fatigue.
b. amenorrhea, enlarged breasts, quickening.
Correct
 
 
 
c. striae gravidarum, soft uterus, nausea and vomiting.
d. melasma, periodic uterine contraction, deep violet vagina.
 
 
 
3. A nurse is assisting in performing an assessment on a client who suspects that she is
pregnant and is checking the client for probable signs of pregnancy. 1. Uterine
enlargement 2. Fetal heart rate detected by nonelectric device 3. Outline of the fetus
via radiography or ultrasound 4. Chadwick’s sign 5. Braxton Hicks contractions 6.
Ballottement *
1/1
a. 1, 2, 3, 4
b. 3, 4, 5, 6
c. 1, 4, 5, 6
Correct
 
 
 
d. 1, 2, 3, 6
 
 
 
4. What is gynecomastia? *
1/1
a. enlargement or swelling of the breast tissues in males
Correct
 
 
 
b. involuntary contraction of muscles around the opening of the vagina in women
c. menstrual periods with abnormally heavy or prolonged bleeding
d. difficult or painful sexual intercourse
 
 
 
5. A nurse is describing the process of fetal circulation to a client during a prenatal
visit. The nurse accurately tells the client that fetal circulation consists of: *
0/1
a. Two umbilical veins and one umbilical artery.
Incorrect
 
 
 
b. Two umbilical arteries and one umbilical vein.
c. Arteries carrying oxygenated blood to the fetus.
d. Veins carrying deoxygenated blood to the fetus.
Option 5
Correct answer
b. Two umbilical arteries and one umbilical vein.
 
 
 
6. It gives the cord body and prevents pressure on the blood vessels. *
0/1
a. Wharton’s jelly
b. Pharton’s jelly
c. Fharton's jelly
d. Bharton's jelly
Incorrect
 
 
 
Correct answer
a. Wharton’s jelly
 
 
 
7. During the prenatal visit, the nurse assesses the fetal heart rate (FHR). Which of the
following rates in beats per minute (bpm) is an expected outcome? *
1/1
a. 60 to 100
b. 100 to140
c. 120 to 160
Correct
 
 
 
170 to 190
 
 
 
8. All of these are functions of surfactant, EXCEPT: *
1/1
a. prevents alveolar collapse.
b. improves and maintains infant’ respirations.
c. enhances alveolar surface tension on inspiration.
Correct
 
 
 
d. decreases alveolar surface tension on expiration.
 
 
 
9. Normal ratio of lung surfactant is: *
1/1
a. 1:1
b. 1:2
c. 2:1
Correct
 
 
 
d. 2:3
 
 
 
10. The nurse is developing a teaching plan for a patient who is 8 weeks pregnant. The
nurse should tell the patient that she can expect to feel the fetus move at which
time? *
1/1
a. Between 10 and 12 weeks’ gestation.
b. Between 16 and 20 weeks’ gestation.
Correct
 
 
 
c. Between 21 and 23 weeks’ gestation.
d. Between 24 and 26 weeks’ gestation.
 
 
 
11. Mrs. Pie visits the clinic for the first time for nausea and vomiting and for missed
period for 3 weeks already. To know her last menstrual period, a nurse is
EFFECTIVE if she asks: *
0/1
a. “When is the last day of your last menstrual period?”
Incorrect
 
 
 
b. “When is the first day of your last menstrual period?”
c. “When is the last month of your last menstrual period?”
d. “When is the next month of your last menstrual period?
Correct answer
b. “When is the first day of your last menstrual period?”
 
 
 
12. Mrs. Pie claims that her last menstruation was April 21-25. Her LMP was: *
0/1
a. April 25
Incorrect
 
 
 
b. April 23
c. April 22
d. April 21
Correct answer
d. April 21
 
 
 
13. Mrs. Pie is expected to deliver on: *
0/1
a. January 28
b. January 29
c. January 30
February 1
Incorrect
 
 
 
Correct answer
a. January 28
 
 
 
14. When developing a teaching plan for a client who is 8 weeks pregnant, which of
the following foods would the nurse suggest to meet the client’s need for increased
folic acid? *
0/1
a. spinach
b. bananas
c. seafood
d. yogurt
Incorrect
 
 
 
Correct answer
a. spinach
 
 
 
15. The nurse instructs a primigravida about the importance of sufficient vitamin A in
her diet. The nurse knows that the instructions have been effective when the client
indicates that she should include which of the following in her diet? *
1/1
a. buttermilk and cheese
b. strawberries and cantaloupe
c. egg yolks and squash
Correct
 
 
 
d. oranges and tomatoes
 
 
 
16. A primigravid client asks the nurse if she can continue to have a glass of wine
with dinner during her pregnancy. Which of the following would be the nurse’s best
response? *
1/1
a. “You should limit your consumption to beer and wine.”
b. “You may have 1 drink or 2 ounces of alcohol per day.”
c. “You should abstain from drinking alcoholic beverages.”
Correct
 
 
 
d. “ The effects of alcohol on a fetus during pregnancy are unknown.”
 
 
 
17. A nurse is performing an assessment of a primipara who is being evaluated in a
clinic during her second trimester of pregnancy. Which of the following indicates an
ABNORMAL physical finding necessitating further testing? *
1/1
a. Consistent increase in fundal height
b. Fetal heart rate of 180 BPM
Correct
 
 
 
c. Braxton Hicks contraction
Quickening
 
 
 
18. A primigravid adolescent client at approximately 15 weeks gestation who is
visiting the prenatal clinic with her mother is to undergo alpha-fetoprotein (AFP)
screening. When developing the teaching plan for this client, the nurse would include
information about which of the following? *
1/1
a. Ultrasonography usually accompanies AFP testing.
b. A clean-catch midstream urine specimen is needed.
c. Results are usually very accurate until 20 weeks gestation.
d. Increased levels of AFP are associated with neural tube defects.
Correct
 
 
 
 
 
 
19. Mrs. Yap, a 25-year-old gravida, tells the nurse that she and her husband are
trying to conceive a normal baby. When teaching the client about reducing the
incidence of neural tube defects in newborns, the nurse would emphasize the need for
intake of which of the following nutrients? *
1/1
a. Iron (Fe)
b. Folate (folic acid)
Correct
 
 
 
c. Calcium (Ca)
d. Magnesium (Mg)
 
 
 
20. When measuring a client’s fundal height, which of the following techniques
denotes the CORRECT method of measurement used by the nurse? *
0/1
a. From the xiphoid process to the umbilicus.
b. From the symphysis pubis to the xiphoid process.
Incorrect
 
 
 
c. From the symphysis pubis to the fundus.
d. From the fundus to the umbilicus.
Correct answer
c. From the symphysis pubis to the fundus.
 
 
 
21. Prior to amniocentesis, the patient is asked to void to: *
0/1
a. shrink the size of the uterus.
b. lessen the size of the kidneys.
c. decrease the size of the gallbladder.
Incorrect
 
 
 
d. reduce the size of the urinary bladder.
Correct answer
d. reduce the size of the urinary bladder.
 
 
 
22. During a pelvic exam, the nurse notes a purple-blue tinge of the cervix. The nurse
documents this as which of the following? *
0/1
a. Braxton-Hicks sign
b. Chadwick’s sign
Incorrect
 
 
 
c. Goodell's sign
d. McDonald's sign
Correct answer
c. Goodell's sign
 
 
 
23. A nurse is reviewing the record of a client who has just been told that a pregnancy
test is positive. The physician has documented the presence of a Goodell’s sign. The
nurse determines this sign as: *
1/1
a. A softening of the cervix.
Correct
 
 
 
b. A soft blowing sound that corresponds to the maternal pulse during auscultation of
the uterus.
c. The presence of hCG in the urine.
d. The presence of fetal movement.
 
 
 
24. Which of the following is a positive sign of pregnancy? *
1/1
a. Fetal movement felt by mother
b. Enlargement of the uterus
c. (+) pregnancy test
d. (+) ultrasound
Correct
 
 
 
 
 
 
25. Which of the following common emotional reactions to pregnancy would the
nurse expect to occur during the first trimester? *
0/1
a. Ambivalence, fear, fantasies
b. Anxiety, passivity, extroversion
Incorrect
 
 
 
c. Introversion, egocentrism, narcissism
d. Awkwardness, clumsiness, unattractiveness
Correct answer
a. Ambivalence, fear, fantasies
 
 
 
26. During the 22nd week of pregnancy, the woman is expected to: *
0/1
a. accept the fact that she is pregnant.
b. explain why morning sickness occurs.
Incorrect
 
 
 
c. prepare sleeping arrangement for the baby.
d. baby-sit the newborn of her neighbor every morning.
Option 5
Correct answer
d. baby-sit the newborn of her neighbor every morning.
 
 
 
27. Which of the following drugs classified as antibiotics/antiinffectives? Select all
that apply. *
0/1
a. Oxytocin
b. Senna
c. Cefalexin
Correct
 
 
 
d. Cefazolin
e. Ergonovine
f. Cefuroxime
Correct
 
 
 
g. Celecoxib
Option 3
Required
Correct answer
c. Cefalexin
d. Cefazolin
f. Cefuroxime
 
 
 
28. Which of the following actions is important before administering Ergonovine?
1/1
a. monitor urine output
b.check for uterine bleeding
c. check blood pressure
Correct
 
 
 
d. assess for signs of hypokalemia
 
 
 
29. Which of the following drugs stimulates uterine contraction? *
1/1
a. Celecoxib
Cefalexin
c. Potassium chloride
d. Oxytocin
Correct
 
 
 
 
 
 
30. A drug used to prepare the cervix for the induction of labor in pregnant women
who are at or near term. *
1/1
a. Ergonovine
b. Potassium chloride
c. Dinoprostone
Correct
 
 
 
d. Cefuroxime